Hetzel, Karen

Hetzel, Karen is an sole proprietor health care provider with primary practice located at 1342 Belmont St Suite 101, Brockton MA 02301-4437. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent, which is considered as her primary health care specialty. Hetzel, Karen can be contacted via phone (508) 583-1600.

Contact Information

Primary practice address
1342 Belmont St Suite 101 Brockton MA 02301-4437
Phone: (508) 583-1600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent 364SP0807X 144649 Massachusetts

Profile Details

NPI number 1013054998
LBN Legal business name Hetzel, Karen
Credentials PHD, APRN, BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013054998 NPPES
Massachusetts Other 005176 VALUE OPTIONS
Massachusetts Other 790700 VALUE OPTIONS
Massachusetts Other PN0031 VALUE OPTIONS
Massachusetts Other 1028770 VALUE OPTIONS
Massachusetts Other 306175 VALUE OPTIONS

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